pulmonarymechanics Flashcards

(61 cards)

1
Q

during normal breathing the lung inflates by reducing the pressure on the ___.

A

outside

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2
Q

When a patient is on a respirator the lung is inflated by imposing a ___ pressure.

A

positive

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3
Q

When the externally applied pressure decreases, the lung ___ due to its inward passive elastic recoil.

A

deflates

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4
Q

during normal quiet breathing, or eupnea, the contraction of the diaphragm exerts an ___ force on the intrapleural space–the space outside of the lung but within the chest wall.

A

expansive

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5
Q

The ___ in intrapleural pressure causes the lung to inflate.

A

drop

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6
Q

When the diaphragm stops contracting, and starts to relax, then the p___f the lung results in deflation

A

assive elastic recoil o

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7
Q

the lung during normal breathing is a __- pressure pump

A

negative

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8
Q

When the respiratory muscles are relaxed, the pressure in the intrapleural space is normally ____ than atmospheric pressure by about 5 cm

A

less

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9
Q

a pressure less than atmospheric is referred to as negative or positive?

A

negative

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10
Q

intrapleural pressure is said to be -__ cm H2O.

A

5

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11
Q

When the thoracic cavity is exposed to atmospheric pressure, as occurs with a wound, then intrapleural pressure___ atmospheric pressure -> ling collapse

A

rises up to

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12
Q

Maintenance of lung inflation depends critically on the maintenance of a ____ pressure in the space between the lung and the chest wall. *

A

negative

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13
Q

During eupnea, or quiet breathing (with a ventilation of about 7.5 L/min), the ___ may be the only active inspiratory muscle

A

diaphragm

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14
Q

Expiration is due to the passive recoil of the lung and the chest wall without the participation of

A

expiratory muscles

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15
Q

during eupneic breathing ___ is active

A

inspiration

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16
Q

during eupneic breathing expiration is___

A

oassive

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17
Q

hyperpnea, or active breathing during exercise, inspiration is aided by the contraction of the ___

A

external intercostals

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18
Q

During strenuous exercise, the ____ muscles of the chest and neck are used to reduce the resistance to airflow.

A

accessory

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19
Q

When ventilation exceeds about 40 L/min, expiration is aided by contraction of the__which depress the ribs downward and inward.

A

internal intercostals

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20
Q

___ intercostals are involved in inspiration

A

external

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21
Q

___ is normal breathing (7.5 l/min)

A

eupnea

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22
Q

____ you have active inspiration but passive expiration

A

eupnea

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23
Q

hypernea means breathing is ___ and __ than normal like durign exercise

A

deeper and faster

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24
Q

inspiration and expiration are both active in ____

A

hypernea

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25
____ leads to aleolar gypoxia and hypercapnea
hypoventilation
26
____ is breathing faster than required for oxygnation elads to alvolar hypocapnea respiratory
hyperventilation
27
muscualr dystrophy, respiratory muscle paralysis you see ___ventilation
hypo
28
alveolar pressure, or Palv, varies during the
breathing cycle.
29
During inspiration, Palv __ Patm.
<
30
If the breath is held at any lung volume with no air moving, and with the mouth and glottis open, then Palv ___Patm.
=
31
Contraction of the diaphragm exerts an expansive force on the intrapleural space, thus ____ its pressure, making it more negative, and acting to inflate the lung.
decreasing
32
if a weight is placed on the chest, then the external pressure on the chest wall is greater than Patm and is referred to as ____
body surface pressure.
33
____ directed transmural pressures are regarded as positive
outwardly
34
inwardly directed transmural pressures are ____.
negative
35
___ sets the degree of inflation of the lung
transmural lung pressure
36
Pl sets the degree of lung inflation and must always be ____ to maintain inflation.
positive
37
transmural chest wall pressure is equal to
PI-Patm
38
The total pressure, or Pt, also called the relaxation pressure, is the total transmural pressure across the___ and ___
lung and the chest wall.
39
The total pressure is the difference between___ and ___ pressure
alveolar and atmospheric
40
total pressure is equal to the sum of
the lung pressure + the chest wall pressure.
41
When all respiratory muscles are relaxed, the system is at ___ equilibrium,
mechanical\n\n Pt = 0\nwhile Pl = -Pc
42
t rest, the positive outward lung pressure is balanced by the___ elastic recoil pressure of the lung.
inward passive
43
, the negative inward chest wall pressure is balanced by the pressure of the chest wall.
passive outward elastic recoil
44
Static compliance determines what particular ____ the lung and chest wall will assume for a given transmural pressure when the elastic vessels are at mechanical equilibrium with no air moving.
volume
45
Abnormally decreased total compliance could be due either to the properties of the___ or chest wall
lung or the chest wa
46
functional residual capacity, or FRC, is the lung volume when__equals zero
Pt
47
With larger degrees of inflation, Ppl becomes more ___.
positive
48
An ___ lung compliance makes it difficult to exhale
increased
49
___ lung compliance makes it difficult to inspire.
decreased
50
____ are related lung diseases induced by inhalation of dust asbestos, coal, silica, and other toxic mineral particles
Pneumoconioses
51
Pneumoconioses --> formation of
granulomatous and fibrous tissue in the lungs leading to a decrease in compliance, or a "stiffer" lung
52
Increased __- caused changes in totla lung caity and function residual cpaicty
complianceN
53
___ ___ accumul;ate in lung to remove inhaled smoke
in emphysema
54
Pulmonary surfactant contains insoluble ___ with a large proportion of dipalmitoyl lecithin
lipoprotein
55
urfactant lowers the surface tension of the lung and ___ compliance.
increases
56
A deficiency of surfactant increases the surface tension of alveoli and thus increases their ___nd tends to deflate the lu
elastic recoil a
57
Respiratory distress syndrome, or ___ disease, is a condition of lung immaturity afflicting premature infants.
hyaline membrane
58
if two bubbles have same surfcae tneion, the smaller bubble will have the ___ internal pressure
larger
59
The effect of pulmonary surfactant on lung compliance helps to stabilize the alveoli and prevent ___ (partial collapse of the lung)
atelectasis
60
, the surface tension of alveoli with surfactant increases with increasing
inflation volumes
61
Lung extracts containing surfactant exhibit the property of increasing surface tension with increasing
surface area